Have A ‘Gummy Smile?’

Posted on Jan 11, 2016 by William J. Claiborne, DDS MS

Think of a photo that shows someone who is truly happy. They are typically beaming with a big, wide smile. For those who feel their smile has flaws, however, letting loose with a truly happy smile can be difficult.

For example, this can be the case for those who have a ‘gummy smile.’ In a gummy smile, too much gum line is seen above the upper teeth when the individual is smiling fully. This extra gum tissue detracts from the beauty of a smile. And, it often causes those with the trait to ‘hold back’ rather than allow a full smile to emerge. It can even cause people to cover their smile with a hand to conceal what they feel is an unattractive flaw.

A healthy smile should never feel awkward. However, the appearance of a smile can have tremendous impact on self-esteem, self-confidence and of course, appearance. While it is important to have a healthy smile, it is also beneficial to our self-image that we have a smile that makes us feel good on the inside and out.

A gummy smile can be repaired easily with modern techniques, and with exceptional comfort and reduced healing time. This is done by gum contouring. In this procedure, a ‘gingivectomy’ is performed that removes excess gum tissue above the teeth.

We begin by anesthetizing the gums and carefully trim the excess tissue. After the procedure, some tenderness or swelling may occur, which can be minimized by applying an ice pack to the affected area for a day. While most discomfort is managed with over-the-counter pain medications, prescription strength options are available for patients who desire them.

Healing time depends on the individual and can vary from a few days to a few weeks. Patients who smoke can expect the longer healing time.  This is because the chemicals in cigarette smoke are very drying to oral tissues. Dryness slows the body’s ability to support a proper pace of healing.

Most gingivectomies are followed by crown lengthening procedures that enhance the appearance of the teeth most visible in a smile. Crown lengthening uses porcelain veneers or crowns to give a beautiful, even smile line.

The costs for repairing a gummy smile will vary according to the severity of the condition and subsequent addition of crowns or veneers. However, we’ve seen remarkable results with those who have had the procedure. They seem to transform into a more outgoing, vibrant personality through a fabulous smile that gets shared often!

Begin with a consultation to discuss the gingivectomy procedure and if subsequent crown lengthening is recommended. Call 828-274-9440 for a time that is convenient to you.

Replacing Teeth – Weighing Your Choices

Posted on Dec 29, 2015 by William J. Claiborne, DDS MS

While today’s dentistry offers a number of excellent methods for replacing teeth, there are advantages and disadvantages to each option. It is my goal to help patients understand why we recommend Dental Implants so they can determine what is best for their needs.

Missing teeth can be replaced with crown-&-bridge combinations, partial or full dentures, or dental implants. Crown-&-bridge is only possible when natural teeth border both sides of the area of missing teeth since crowned, natural teeth are the bridge’s support.

A partial denture does not require teeth on each side for support. However, it does need teeth on one side to provide support for clasps or framework that attach to adjacent, natural teeth.

A full denture replaces a teeth for those who have lost all of their upper and/or lower teeth. These teeth are held by a base that mimics gums, which is contoured to the shape and size of your ridge. The ridge, which is actually the jaw bone covered by gum tissue, is the raised arch that once supported natural tooth roots.

In these options, the absence of natural tooth roots leaves the gum ridge without the stimulation that once kept it healthy. Thus, the bone will eventually begin to shrink in height and mass.

The pressure of wearing dentures or partials accelerates the pace of bone loss. For those who sleep in their denture or partials, the 24/7 pressure speeds up the rate of bone loss even more.

As the bone declines, the fit of the denture or partial changes. Slips become common when eating, often rubbing sore spots on gum tissues. Although a crown-&-bridge will not slip, bone loss will be apparent when an open space develops below the bridge.

Because Dental Implants are placed in the jaw bone, they recreate the stimulation of tooth roots. This halts bone loss and preserves the stability of your bite as well as a healthy facial structure.

Dental Implants are also designed to last your lifetime. With proper care, they will never need removal or replacement. They do not need the support of adjacent teeth and actually help preserve the integrity of other teeth.

The downside? The cost is higher than other tooth replacement options. However, over time, they are a far better investment. With the upfront cost being the ONLY problem associated with Dental Implants, the fact that it is a ‘one and done’ expense (with a lifetime of benefits) really makes them a better choice compared to other tooth replacement options.

If you are missing natural teeth and would like to discuss replacement with Dental Implants, call 828-274-9440 to schedule a consultation. During this time, we’ll discuss how Dental Implants may be the perfect choice!

Easy Ways To Lower Your Costs For Dental Needs

Posted on Dec 01, 2015 by William J. Claiborne, DDS MS

It is wise to care for our health (and the health of our loved ones) by taking proactive measures. Having annual exams and screenings can help prevent or minimize expenses for more-complex needs in the future. As a dental specialist, I see firsthand the many problems (and subsequent expenses), many that could have been avoided in the first place. Spending a few minutes each day and having 6-month exams and cleanings can save you greatly.

It’s actually easy to prevent oral problems and costs for repairs. Your regular oral hygiene visits are opportunities to remove buildup that can lead to problems. They can also catch problems that may have arisen since your last visit. Early treatment will help you minimize time and expenses needed for repairs.

Your home care regimen can help you avoid problems by keeping oral bacteria under control. You may feel that twice-daily brushing and flossing routines have minimal impact on avoiding problems. However, these steps are actually very effective in reducing oral bacteria and preventing buildup. Be sure to brush twice a day (for at least two minutes) using a soft to medium bristle brush and fluoridated tooth paste.

Flossing is another powerful way to reduce bacteria in the mouth. Even after brushing, food particles can remain between teeth. These particles literally rot over a day’s time. Oral bacteria feed on this and quickly reproduce. This is why you feel a sticky coating on teeth and gums, known as plaque. Plaque is an accumulation of oral bacteria.

Daily flossing takes only a minute or so once you are in the habit. Our hygienist can demonstrate how to comfortably hold floss and move it easily between teeth (even those hard-to-reach teeth). If preferred, an electronic flosser can be purchased to make the task easy yet effective. These are especially helpful for people with dexterity problems, such as adults with RA.

Dry mouth is a another reason for oral bacteria growth. Saliva in the mouth continually rinse oral bacteria away. When saliva levels are low, these bacteria can multiply quickly. Smoking, alcohol, caffeine, some medications and mouth breathing (such as snoring) are all drying to oral tissues. Some health conditions, including anemia, hypertension, arthritis and diabetes, also have symptoms of dry mouth.

Dry mouth can be improved by drinking plenty of water and using an over-the-counter oral rinse designed for those with dry mouth. If you are taking medications that have drying side effects, ask your doctor about alternative options.

Oral bacteria can also be reduced by using a tongue scraper. This uproots deeply-embedded bacteria in the tongue. Scrape 2 or 3 times over the tongue, starting at the back of the tongue where most bacteria exist. Scrape forward and rinse after each pass. An alternative is to brush your tongue after each tooth brushing.

To protect the tooth’s protective shell of enamel, avoid brushing right after eating. Whenever you consume food or beverages, an acid attack begins in your mouth as part of the digestive process. Unfortunately, these acids soften tooth enamel for about 30 minutes after eating. Brushing can wear away this precious enamel so wait 30 minutes after eating before you brush.

Crowning a tooth before problems begin can prevent costly future problems, including tooth loss. Missing teeth affect the alignment of neighboring teeth, increasing the risk for broken, chipped or worn teeth as well as migraines, sore jaw joints and ear ringing.

Be committed to spending wisely this year by being committed to your dental health every day. You’ll likely spend far less over time while enjoying a confident, healthy mouth and appealing smile.

If you are experiencing problems with missing teeth or have tender gums, call 828-274-9440 for an appointment.

Tackle Gum Disease Quickly To Save Time & Money

Posted on Aug 24, 2015 by William J. Claiborne, DDS MS

Let’s say you noticed a spot on the door to your home that looked like termite damage. Because the results can be costly, you’d react quickly to have the problem resolved before the damaged progressed further. Right?

Then wouldn’t the same reaction be warranted when signs of gum disease appear?

As a Periodontist, I specialize in the care of oral gum tissues and the placement of dental implants. The majority of patients I see have periodontal (gum) disease that requires specialized treatment. Without this, tooth loss occurs as well as a higher risk for heart disease, stroke, arthritis, diabetes, preterm babies and impotency.

Often, the patients I treat were aware that something about their oral health wasn’t right. Perhaps they began having tender gums and noticed blood in the sink when brushing. Perhaps their gums receded, exposing sensitive, darker tooth root areas. Perhaps their breath was frequently bad, even shortly after brushing.

Sadly, the general population is more aware of the damage termites can cause than the destruction and heighten health risks associated with gum disease. However, the bottom line is this: When it comes to your smile, early care is the best way to save time and money required for more complex treatment later.

One of the reasons your dentist arranges your check-ups and exams is to remove built-up plaque (a hardened form of oral bacteria) and note areas that are at risk. Those who delay or avoid these visits thinking “if it doesn’t hurt, then nothing is wrong” not only delay costs, they are actually adding to overall expenses that will eventually be required once something does hurt.

Think of your mouth as the front door of your home and oral bacteria as termites. (Except oral bacteria are far worse! Termites eat wood. Oral bacteria eat YOU!) Gum disease can be easily avoided with regular check-ups and a thorough oral hygiene routine at home (totaling about 5 mins. a day). Think of this commitment to your smile as money you keep!

If you suspect you may have any stage of gum disease, call our office at (828) 274-9440. Time is not on your side.